DR. SEAN MICHAEL ROARK M.D.
NPI 1730384900
Internal Medicine - Pulmonary Disease in Pensacola, FL

Active since June 18, 2007PECOS EnrolledAccepts Medicare Assignment
13.3/100
CMS Quality Rating
4700 BAYOU BLVD STE 6, PENSACOLA, FL 32503(850) 477-9253(850) 494-9843 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 31, 2019, Jan 25, 2019, Aug 30, 2016 (3 updates tracked since 2016).

About Dr. Sean Michael Roark M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SEAN MICHAEL ROARK M.D. (NPI 1730384900) is an individual pulmonary disease provider in Pensacola, Florida, licensed in Florida (ME136320) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of University Of South Alabama College Of Medicine (2007).

NPPES Registry Identity

NPI1730384900
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. SEAN MICHAEL ROARKCredential: M.D.
Location Address4700 BAYOU BLVD STE 6Pensacola, FL 32503
Mailing Address4700 Bayou Blvd Ste 6Pensacola, FL 32503-1901 · (850) 477-9253 · Fax (850) 494-9843
Fax(850) 494-9843
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2007
Enumeration DateJune 18, 2007
Last NPPES UpdateJanuary 31, 20193 updates tracked since enumeration
NPI 1730384900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in FL · ME136320
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License ME136320 (FL)
4700 BAYOU BLVD STE 6, Pensacola, FL 32503

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Sean Michael Roark M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931339363
PECOS Enrollment IDI20190215000990
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
615 services241 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
66 services39 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
11 services11 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Ascension Sacred Heart Bay

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100026
Location615 N Bonita AvePanama City, FL 32401 · Bay County
Emergency services

North Okaloosa Medical Center

Acute Care Hospitals · Crestview, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100122
Location151 Redstone Ave SECrestview, FL 32539 · Okaloosa County
Emergency services Birthing friendly

Sacred Heart Hospital On The Emerald Coast

Acute Care Hospitals · Miramar Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100292
Location7800 Us Hwy 98 WMiramar Beach, FL 32550 · Walton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

13.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost44.35

Referred Medical Equipment & Supplies CMS DME claims 25

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers91 claims91 services$37.40 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers13 claims26 services$1.45 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers100 claims100 services$91.61 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers89 claims244 services$35.16 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers46 claims260 services$19.34 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers40 claims212 services$13.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
4700 BAYOU BLVD STE 6
PENSACOLA, FL 32503
Internal Medicine (Pulmonary Disease)
4700 BAYOU BLVD STE 6
PENSACOLA, FL 32503
Internal Medicine (Pulmonary Disease)
4700 BAYOU BLVD STE 6
PENSACOLA, FL 32503
Internal Medicine (Pulmonary Disease)
4700 BAYOU BLVD STE 6
PENSACOLA, FL 32503
Internal Medicine (Pulmonary Disease)
4700 BAYOU BLVD STE 6
PENSACOLA, FL 32503
Nurse Practitioner (Acute Care)
4700 BAYOU BLVD STE 6
PENSACOLA, FL 32503
Internal Medicine (Critical Care Medicine)
4700 BAYOU BLVD STE 6
PENSACOLA, FL 32503
Nurse Practitioner (Acute Care)
4700 BAYOU BLVD STE 6
PENSACOLA, FL 32503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sean Roark's NPI number?

The NPI number for Sean Roark is 1730384900. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Sean Roark located?

Sean Roark practices at 4700 Bayou Blvd Ste 6, Pensacola, FL 32503. The listed phone number is (850) 477-9253.

What is Sean Roark's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sean Roark enrolled in Medicare?

Yes. Sean Roark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sean Roark accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Sean Roark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sean Roark affiliated with any hospitals?

According to CMS data, Sean Roark is affiliated with Sacred Heart Hospital, Ascension Sacred Heart Bay, North Okaloosa Medical Center and Sacred Heart Hospital On The Emerald Coast.

When was this NPI record last updated?

The NPPES record for Sean Roark was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.